| NPI | 1336396811 |
|---|---|
| Former Name | D JEANINE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209003941) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209003941) |
| 163W00000X Registered Nurse (Licence: IL 041226779) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2024-03-14 |